Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,659.59 / $1,659.59	Facility		$724.44	$1,659.59	$1,659.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $489.78 / $724.44	Professional		$416.87	$489.78	$724.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $120.23 / $2,137.96	Professional		$102.33	$120.23	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,949.84 / $3,090.30	Facility		$1,659.59	$1,949.84	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,513.56 / $1,862.09	Professional		$691.83	$1,513.56	$1,862.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $2,511.89 / $3,801.89	Facility		$616.60	$2,511.89	$3,801.89
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,981.07	Professional		$3,630.78	$3,630.78	$3,981.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $724.44 / $2,089.30	Facility		$537.03	$724.44	$2,089.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $363.08 / $3,019.95	Professional		$269.15	$363.08	$3,019.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $302.00	Professional		$50.12	$70.79	$302.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,412.54 / $1,995.26	Professional		$977.24	$1,412.54	$1,995.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,884.03 / $2,884.03	Facility		$1,202.26	$2,884.03	$2,884.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $2,398.83 / $3,019.95	Professional		$870.96	$2,398.83	$3,019.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,311.31 / $3,311.31	Professional		$3,162.28	$3,311.31	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $724.44	Facility		$478.63	$478.63	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $363.08 / $1,000.00	Professional		$251.19	$363.08	$1,000.00